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* 1. So we know who this is from, please type your FIRST & LAST NAME (and EMAIL address) below:

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* 4. Do you have any any existing issues with your feet, knees, back, neck, etc?

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* 5. An arch in the insole (of the high heel) helps keep you balanced, gives support and holds your foot in place. If a built-in arch was in the insole, which would you prefer:

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* 6. For the lining & insole lining (material that makes contact with the entire foot), do you prefer:

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* 7. Please place your LEFT foot on to a piece of paper and trace it (as close to your foot as you can) all the way around it. Take a ruler and measure across the width of your traced foot from the furthermost edges (basically you need to measure from the widest point where the joint is under the pinky toe to the widest area where the joint of the big toe is). Please write the measurement number AND whether you are measuring in inches or mm or cm in the text box:

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* 8. Using the drawing of your LEFT foot, please take a ruler and measure from the middle back of the heel area to the end of the longest toe (keep the ruler straight, don't angle it). Please write the measurement number AND whether you are measuring in inches or mm or cm in the text box:

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* 9. Please place your RIGHT foot on to a piece of paper and trace it (as close to your foot as you can) all the way around it. Take a ruler and measure across the width of your traced foot from the furthermost edges (basically you need to measure from the widest point where the joint is under the pinky toe to the widest area where the joint of the big toe is). Please write the measurement number AND whether you are measuring in inches or mm or cm in the text box:

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* 10. Using the drawing of your RIGHT foot, please take a ruler and measure from the middle back of the heel area to the end of the longest toe (keep the ruler straight, don't angle it). Please write the measurement number AND whether you are measuring in inches or mm or cm in the text box:

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